37 Study Examines success rates of different modalities Both primary and overall Retrospective study N = 83 patients March 1999 to August 2007

38

39

40 Conclusions Laparoscopic and Open Surgery are best Endoscopic intervention is an option Particularly with repeat endoscopic drainage Future directions: Endoscopy and NOTES Need for further study; randomized CT

41 Summary Pseudocyst management is multidisciplinary Important to determine ductal relationship Observation is an option as most regress Imaging CT/EUS/MRI provides key information Must rule out neoplasm prior to intervention

42 Question 1 Which of the following is the most important determinant of the need for drainage of a pancreatic pseudocyst? a. Pseudocyst Symptoms b. Pseudocyst Size c. Pseudocyst Duration d. Associated Chronic Pancreatitis e. Patient Age

43 Question 1 Which of the following is the most important determinant of the need for drainage of a pancreatic pseudocyst? a. Pseudocyst Symptoms b. Pseudocyst Size c. Pseudocyst Duration d. Associated Chronic Pancreatitis e. Patient Age

Bile Leaks After Laparoscopic Cholecystectomy Kings County Hospital Center Eliana A. Soto, MD Biliary Injuries during Cholecystectomy In the 1990s, high rate of biliary injury was due in part to learning

Therapeutic Endoscopy Fantastic Voyage Now a Reality Robert Luís Pompa, MD Gastroenterology History of Endoscopy Two major obstacles: The gut is not straight It s dark in there! Dr. Kussmaul 1868 first

Renal Cysts What should I do now? Dr Edmund Chiong Asst. Professor & Consultant Department of Urology National University Hospital What are renal cysts? Fluid-filled structures in the kidney that are not

WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS This is a patient information booklet providing specific practical information about gall bladder polyps in brief. Its aim is to provide the patient

Laparoscopic Gall Bladder Removal Gallbladder removal is a common surgical procedure all over the world. Today, gallbladder surgery is performed laparoscopically (key-hole surgery). The medical name for

EXTRAHEPATIC BILE DUCT CANCER General Information Extrahepatic bile duct cancer is a rare disease in which malignant (cancer) cells form in the part of bile duct that is outside the liver. A network of

Pancreatitis: scope workshop discussions Group 1 1.1. Who is the focus: The DH remit is for the diagnosis and management of Paediatrics: Very rare instances of chronic pancreatitis as the child would not

This lecture is drawn from the continuing medical education program Finding Hope: Prevention, Early Detection and Treatment of Pancreatic Cancer, Nov, 2011. Robert P. Jury, MD Cystic Neoplasms of the Pancreas:

Pancreatic Cancer Pancreatic cancer mainly occurs in people over 60. If it is diagnosed at an early stage, then an operation to remove the cancer followed by chemotherapy with or without radiation therapy

Microwave ablation for the treatment of liver Issued: August 2011 guidance.nice.org.uk/ipg NICE has accredited the process used by the NICE Interventional Procedures Programme to produce interventional

Gallbladder cancer Gallbladder cancer is a disease in which malignant (cancer) cells form in the tissues of the gallbladder. Gallbladder cancer is a rare disease in which malignant (cancer) cells are found

Information for patients Treating your kidney tumour by percutaneous thermal tumour ablation using radiofrequency ablation (RFA) Introduction This leaflet tells you about the procedure known as percutaneous

A Guide for Patients Living with a Biliary Metal Stent What is a biliary metal stent? A biliary metal stent (also known as a bile duct stent ) is a flexible metallic tube specially designed to hold your

Laparoscopic Gallbladder Removal (Cholecystectomy) Patient Information from SAGES Gallbladder removal is one of the most commonly performed surgical procedures. Gallbladder removal surgery is usually performed

Radiofrequency ablation for colorectal liver Issued: December 2009 www.nice.org.uk/ipg NHS Evidence has accredited the process used by the NICE Interventional Procedures Programme to produce interventional

Gallbladder and Bile Duct Surgery (Cholecystectomy and Common Duct Exploration) A simple guide to help answer your questions What is a gallbladder? The gallbladder is the organ in the body which is responsible

Exceptional healthcare, personally delivered Introduction are small stones that form in your gallbladder. This is a small pear-shaped pouch that is attached to your liver and stores bile that helps your

Diverticular Disease of the Colon EPIDEMIOLOGY Overall prevalence - 12% to 49% Increases with age < 10% in those younger than 40 years > 50% to 66% of patients 80 years As common in men and women Men -

URINARY INCONTINENCE CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for urinary incontinence and any history of urinary

OMG (Oh my gallbladder) Attack of the gallbladder Presented by: Jeanne L.L. Plouffe, CPC, CGSC Fun Facts The gallbladder is a sac located under your liver Primary function of gallbladder is to store and

ABThera Open Abdomen Negative Pressure Therapy for Active Abdominal Therapy Case Series Summary of Cases: USER EXPERIENCE The ABThera OA NPT system was found by surgeons to be a convenient and effective

Laparoscopic Cholecystectomy Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm What

The digestive system Medicine and technology Normal structure and function Diagnostic methods Example diseases and therapies The digestive system An overview (1) Oesophagus Liver (hepar) Biliary system

GASTROINTESTINAL IMAGING 1218 Note: This copy is for your personal non-commercial use only. To order presentation-ready copies for distribution to your colleagues or clients, contact us at www.rsna.org/rsnarights.

Prevention and Recognition of Obstetric Fistula Training Package Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula Early detection and treatment If a woman has recently survived a

August 2009 To Whipple or Not to Whipple, that is the Question: Evaluating the Resectability of Pancreatic Adenocarcinoma Christina Ramirez, Harvard Medical School Year III Gillian Lieberman, MD Agenda

Chapter 6 Gastrointestinal This chapter consists of 2 parts: Part 6.1 Diseases of the digestive system Part 6.2 Abdominal wall hernias and obesity PART 6.1: DISEASES OF THE DIGESTIVE SYSTEM Diseases of

G E R D (Gastroesophageal Reflux Disease) What is GERD? Gastroesophageal reflux disease (GERD) is a disorder caused by gastric acid flowing from the stomach into the esophagus. What are the symptoms of

ENDOSCOPIC ULTRASOUND (EUS) What you need to know before your procedure Your Doctor has decided that an EUS is necessary for further evaluation and treatment of your condition. This information sheet has

Treatment Guide Pancreatic Disease The pancreas is one of the body s great multi-taskers this dual-purpose organ is also a gland. Some people may not give much thought to the pancreas, especially those

JAMES BUCHANAN BRADY UROLOGICAL INSTITUTE URETEROSCOPY OVERVIEW Ureteroscopy is a procedure using a thin telescope (ureteroscope), which is passed through the urethra (channel through which urine flows

Pancreatitis National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is pancreatitis? Pancreatitis is inflammation of the pancreas.

Laparoscopic Gallbladder Surgery Treating Gallbladder Problems A Common Problem If you ve had a painful attack of gallbladder symptoms, you re not alone. Gallbladder disease is a very common problem. Most

Gastroenterology Research and Practice, Article ID 438697, 4 pages http://dx.doi.org/10.1155/2014/438697 Research Article Analysis of the Power of Common Diagnostic Tools in the Management of Acute Pancreatitis

INTRODUCTION APPOINTMENTS P ancreatic cancer is a difficult diagnosis that affects over 45,000 people in the United States each year. Thankfully, improved understanding of risk factors for the disease,

Clinical Practice Guidelines Jaundice Department of Surgery What is an operational concept of jaundice? A yellowing of the skin, sclerae, and other tissues caused by excess circulating bilirubin. Beers

Program Overview The University of Hong Kong Department of Surgery Division of Esophageal and Upper Gastrointestinal Surgery Weight Control and Metabolic Surgery Program The Weight Control and Metabolic